NPIMap

Organization Active NPI

RC Compounding Services LLC

  • Specialty Pharmacy
  • Poland, OH
National Provider Identifier
1801013909
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
021678950 Issued in OH
Legal business name
RC COMPOUNDING SERVICES LLC
Doing business as
RC Compounding Services LLC
Practice address
3030 Center Rd
Poland, OH 44514-2158
Phone
(330) 707-9001
NPI assigned
Apr 19, 2007
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raymond Carlson
Title
PHRM
Phone
(330) 707-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 021678950 OH Primary

Addresses

Primary practice location

3030 Center Rd
Poland, OH 44514-2158

Mailing address

3030 Center Rd
Poland, OH 44514-2158
Phone (330) 707-9001

Other identifiers 1

IdentifierTypeStateIssuer
2080734OtherPK

Other names 1

  • RC COMPOUNDING SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3030 Center Rd
Poland, OH 44514
Phone (330) 707-9001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1801013909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CENTER RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142158",
            "telephone_number": "330-707-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CENTER RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142158",
            "telephone_number": "330-707-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC COMPOUNDING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHRM",
        "authorized_official_telephone_number": "330-707-9001"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "021678950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RC COMPOUNDING SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.